Kelly Jean Sachau, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

106139 Issued in IA

Practice address

1119 4TH St Ste 220-a
Sioux City, IA 51101-1900

Phone

(712) 847-2226

Fax

(712) 268-6786

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KJS Therapeutic Services LLC

  • Mental Health Counselor
  • Sioux City, IA
  • NPI 1154196111
  NPD Authorized official
• Family Wellness Associates, Inc.

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1518337054
  NPD (past)
• Stokes and Associates, LLC

  • Clinical Psychologist
  • Sioux City, IA
  • NPI 1104170596

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1871190389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 4TH ST STE 220-A",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011900",
            "telephone_number": "712-847-2226",
            "fax_number": "712-268-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 4TH ST STE 220-A",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011900",
            "telephone_number": "712-847-2226",
            "fax_number": "712-268-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHAU",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "106139",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "106139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laressa Ryan, NP
• Kelly Ryder, M.D.
• S-H Opco Northpark Place, LLC
• Mohammad Amr Sabbagh, MD
• Holly Marie Sachau
• Sacred Encounter Hospice NW Iowa, LLC
• Shawn Rene Salmen, NP-C
• Ivan King Salmons, D.D.S.
• Tiffany Samuelson, LMSW, CADC
• William Oliver Samuelson, MD

• Mental Health Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.